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Thursday, August 3, 2017

Transgender Ideology Infiltrates Pediatrics & Produces Child Abuse

Transgender Ideology Infiltrates Pediatrics & Produces Child Abuse

Michelle Cretella, M.D.

Transgender politics have taken Americans by surprise and caught some lawmakers off guard.

Just a few short years ago, not many could have imagined a high-profile
showdown over transgender men and women’s access to single-sex bathrooms
in North Carolina.
But transgender ideology is not just infecting our laws. It is intruding
into the lives of the most innocent among us – children – and with the
apparent growing support of the professional medical community.

Dr. Cretella calls it as it is: 'Promoting gender transitions is child abuse'

I speak as someone intimately familiar with the pediatric and behavioral
health communities and their practices. I am a mother of four who
served 17 years as a board certified general pediatrician with a focus
in child behavioral health prior to leaving clinical practice in 2012.

For the last 12 years, I have been a board member and researcher for the
American College of Pediatricians and for the last three years I have
served as its president. I also sat on the board of directors for the
Alliance for Therapeutic Choice and Scientific Integrity from 2010 to
2015. This organization of physicians and mental health professionals
defends the right of patients to receive psychotherapy for sexual
identity conflicts that is in line with their deeply held values based
upon science and medical ethics.

I have witnessed an upending of the medical consensus on the nature of
gender identity. What doctors once treated as a mental illness, the
medical community now largely affirms and even promotes as normal.

Here’s a look at some of the changes.

The new normal

Pediatric “gender clinics” are considered elite centers for affirming
children who are distressed by their biological sex. This distressful
condition, once dubbed gender identity disorder, was renamed “gender
dysphoria” in 2013.
In 2014, there were 24 of these gender clinics, clustered chiefly along
the East Coast and in California. One year later, there were 40 across
the nation.

With 215 pediatric residency programs now training future pediatricians
in a transition-affirming protocol and treating gender-dysphoric
children accordingly, gender clinics are bound to proliferate further.

Last summer, the federal government stated that it would not require
Medicare and Medicaid to cover transition-affirming procedures for
children or adults because medical experts at the Department of Health
and Human Services found the risks were often too high and the benefits
too unclear.

Undeterred by these findings, the World Professional Association for
Transgender Health has pressed ahead, claiming – without any evidence –
that these procedures are “safe.”
Two leading pediatric associations – the American Academy of Pediatrics
and the Pediatric Endocrine Society – have followed in lockstep,
endorsing the transition affirmation approach even as the latter
organization concedes within its own guidelines that the
transition-affirming protocol is based on low evidence.

They even admit that the only strong evidence regarding this approach is its potential health risks to children.

The transition-affirming view holds that children who “consistently and
persistently insist” that they are not the gender associated with their
biological sex are innately transgender.
(The fact that in normal life and in psychiatry, anyone who
“consistently and persistently insists” on anything else contrary to
physical reality is considered either confused or delusional is
conveniently ignored.)

The transition-affirming protocol tells parents to treat their children
as the gender they desire and to place them on puberty blockers around
age 11 or 12 if they are gender dysphoric.

'Tyler' announced she was a boy at age 2 with full support of her parents

If by age 16, the children still insist that they are trapped in the
wrong body, they are placed on cross-sex hormones, and biological girls
may obtain a double mastectomy.
So-called “bottom surgeries,” or genital reassignment surgeries, are not
recommended before age 18, though some surgeons have recently argued
against this restriction.

The transition-affirming approach has been embraced by public
institutions in media, education, and our legal system and is now
recommended by most national medical organizations.
There are exceptions to this movement, however, in addition to the
American College of Pediatricians and the Alliance for Therapeutic
Choice. These include the Association of American Physicians and
Surgeons, the Christian Medical & Dental Associations, the Catholic
Medical Association and the LGBT-affirming Youth Gender Professionals.

The transgender movement has gained legs in the medical community and in
our culture by offering a deeply flawed narrative. The scientific
research and facts tell a different story.
Here are some of those basic facts.

1. Twin studies prove no one is born ‘trapped in the body of the wrong sex’

Some brain studies have suggested that some are born with a
transgendered brain. But these studies are seriously flawed and prove no
such thing.

Virtually everything about human beings is influenced by our DNA, but
very few traits are hardwired from birth. All human behavior is a
composite of varying degrees for nature and nurture.

The study of twins in cases that only one changes sex shows that transgenderism is not innate

Researchers routinely conduct twin studies to discern which factors
(biological or nonbiological) contribute more to the expression of a
particular trait. The best designed twin studies are those with the
greatest number of subjects.

Identical twins contain 100 % of the same DNA from conception and are
exposed to the same prenatal hormones. So if genes and/or prenatal
hormones contributed significantly to transgenderism, we should expect
both twins to identify as transgender close to 100 % of the time.

Skin color, for example, is determined by genes alone. Therefore, identical twins have the same skin color 100 % of the time.

But in the largest study of twin transgender adults, published by Dr.
Milton Diamond in 2013, only 28 % of the identical twins both identified
as transgender. 72 % of the time, they differed. (Diamond’s study
reported 20 % identifying as transgender, but his actual data
demonstrate a 28 % figure, as I note here in footnote 19.)

That 28 % of identical twins both identified as transgender suggests a
minimal biological predisposition, which means transgenderism will not
manifest itself without outside nonbiological factors also impacting the
individual during his lifetime.

The fact that the identical twins differed 72 % of the time is highly
significant because it means that at least 72 % of what contributes to
transgenderism in one twin consists of nonshared experiences after birth
– that is, factors not rooted in biology.

Studies like this one prove that the belief in “innate gender identity” –
the idea that “feminized” or “masculinized” brains can be trapped in
the wrong body from before birth – is a myth that has no basis in
science.

2. Gender identity is malleable, especially in young children

Even the American Psychological Association’s Handbook of Sexuality and
Psychology admits that prior to the widespread promotion of transition
affirmation, 75 to 95 % of pre-pubertal children who were distressed by
their biological sex eventually outgrew that distress. The vast majority
came to accept their biological sex by late adolescence after passing
naturally through puberty.

But, with transition affirmation now increasing in Western society, the
number of children claiming distress over their gender – and their
persistence over time – has dramatically increased. For example, the
Gender Identity Development Service in the United Kingdom alone has seen
a 2,000 % increase in referrals since 2009.

3. Puberty blockers for gender dysphoria have not been proven safe

Puberty blockers have been studied and found safe for the treatment of a
medical disorder in children called precocious puberty (caused by the
abnormal and unhealthy early secretion of a child’s pubertal hormones).
However, as a groundbreaking paper in The New Atlantis points
out, we cannot infer from these studies whether or not these blockers
are safe in physiologically normal children with gender dysphoria.

The authors note that there is some evidence for decreased bone
mineralization, meaning an increased risk of bone fractures as young
adults, potential increased risk of obesity and testicular cancer in
boys and an unknown impact upon psychological and cognitive development.

With regard to the latter, while we currently don’t have any extensive,
long-term studies of children placed on blockers for gender dysphoria,
studies conducted on adults from the past decade give cause for concern.

For example, in 2006 and 2007, the journal Psychoneuroendocrinology
reported brain abnormalities in the area of memory and executive
functioning among adult women who received blockers for gynecologic
reasons. Similarly, many studies of men treated for prostate cancer with
blockers also suggest the possibility of significant cognitive decline.

4. There are no cases in the scientific literature of gender-dysphoric children discontinuing blockers

Most, if not all, children on puberty blockers go on to take cross-sex
hormones (estrogen for biological boys, testosterone for biological
girls). The only study to date to have followed pre-pubertal children
who were socially affirmed and placed on blockers at a young age found
that 100 % of them claimed a transgender identity and chose cross-sex
hormones.

Dr. Leis hugs a boy whose healthy reproductive system and genitals were surgically removed at age 16

This suggests that the medical protocol itself may lead children to identify as transgender.

There is an obvious self-fulfilling effect in helping children
impersonate the opposite sex both biologically and socially. This is far
from benign, since taking puberty blockers at age 12 or younger,
followed by cross-sex hormones, sterilizes a child.

5. Cross-sex hormones are associated with dangerous health risks

From studies of adults we know that the risks of cross-sex hormones
include, but are not limited to, cardiac disease, high blood pressure,
blood clots, strokes, diabetes, and cancers.

Scientific data show that people under the age of 21 have less capacity
to assess risks. There is a serious ethical problem in allowing
irreversible, life-changing procedures to be performed on minors who are
too young themselves to give valid consent.

7. There is no proof that affirmation prevents suicide in children

Advocates of the transition-affirming protocol allege that suicide is
the direct and inevitable consequence of withholding social affirmation
and biological alterations from a gender-dysphoric child. In other
words, those who do not endorse the transition-affirming protocol are
essentially condemning gender-dysphoric children to suicide.

Yet as noted earlier, prior to the widespread promotion of transition
affirmation, 75 to 95 % of gender-dysphoric youth ended up happy with
their biological sex after simply passing through puberty.

Transgenders show high rates of suicide attempts

In addition, contrary to the claim of activists, there is no evidence
that harassment and discrimination, let alone lack of affirmation, are
the primary cause of suicide among any minority group. In fact, at least
one study from 2008 found perceived discrimination by LGBT-identified
individuals not to be causative.

Over 90 % of people who commit suicide have a diagnosed mental disorder,
and there is no evidence that gender-dysphoric children who commit
suicide are any different. Many gender dysphoric children simply need
therapy to get to the root of their depression, which very well may be
the same problem triggering the gender dysphoria.

8. Transition-affirming protocol has not solved the problem of transgender suicide

Adults who undergo sex reassignment – even in Sweden, which is among the
most LGBT-affirming countries – have a suicide rate nearly 20 times
greater than that of the general population. Clearly, sex reassignment
is not the solution to gender dysphoria.

Bottom line: Transition-affirming protocol is child abuse

The crux of the matter is that while the transition-affirming movement
purports to help children, it is inflicting a grave injustice on them
and their nondysphoric peers.

These professionals are using the myth that people are born transgender
to justify engaging in massive, uncontrolled, and unconsented
experimentation on children who have a psychological condition that
would otherwise resolve after puberty in the vast majority of cases.

Today’s institutions that promote transition affirmation are pushing
children to impersonate the opposite sex, sending many of them down the
path of puberty blockers, sterilization, the removal of healthy body
parts and untold psychological damage.

These harms constitute nothing less than institutionalized child abuse.
Sound ethics demand an immediate end to the use of pubertal suppression,
cross-sex hormones, and sex reassignment surgeries in children and
adolescents, as well as an end to promoting gender ideology via school
curricula and legislative policies.

It is time for our nation’s leaders and the silent majority of health
professionals to learn exactly what is happening to our children, and
unite to take action.

Michelle Cretella,
M.D., is president of the American College of Pediatricians, a national
organization of pediatricians and other health care professionals
dedicated to the health and well-being of children.

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"I am worried by the Blessed Virgin's messages to Lucy of Fatima. This persistence of Mary about the dangers which menace the Church is a divine warning against the suicide of altering the Faith, in Her liturgy, Her theology and Her soul. … I hear all around me innovators who wish to dismantle the Sacred Chapel, destroy the universal flame of the Church, reject Her ornaments and make Her feel remorse for Her historical past."A day will come when the civilized world will deny its God, when the Church will doubt as Peter doubted. She will be tempted to believe that man has become God. In our churches, Christians will search in vain for the red lamp where God awaits them. Like Mary Magdalene, weeping before the empty tomb, they will ask, 'Where have they taken Him?'"

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St. Bernard:

Go forth confidently then, you knights, and repel the foes of the cross of Christ with a stalwart heart. Know that neither death nor life can separate you from the love of God which is in Jesus Christ, and in every peril repeat, "Whether we live or whether we die, we are the Lord's." What a glory to return in victory from such a battle! How blessed to die there as a martyr! Rejoice, brave athlete, if you live and conquer in the Lord; but glory and exult even more if you die and join your Lord. Life indeed is a fruitful thing and victory is glorious, but a holy death is more important than either. If they are blessed who die in the Lord, how much more are they who die for the Lord!

How secure, I say, is life when death is anticipated without fear; or rather when it is desired with feeling and embraced with reverence! How holy and secure this knighthood and how entirely free of the double risk run by those men who fight not for Christ! Whenever you go forth, O worldly warrior, you must fear lest the bodily death of your foe should mean your own spiritual death, or lest perhaps your body and soul together should be slain by him.

Indeed, danger or victory for a Christian depends on the dispositions of his heart and not on the fortunes of war. If he fights for a good reason, the issue of his fight can never be evil; and likewise the results can never be considered good if the reason were evil and the intentions perverse. If you happen to be killed while you are seeking only to kill another, you die a murderer. If you succeed, and by your will to overcome and to conquer you perchance kill a man, you live a murderer. Now it will not do to be a murderer, living or dead, victorious or vanquished. What an unhappy victory--to have conquered a man while yielding to vice, and to indulge in an empty glory at his fall when wrath and pride have gotten the better of you!

But what of those who kill neither in the heat of revenge nor in the swelling of pride, but simply in order to save themselves? Even this sort of victory I would not call good, since bodily death is really a lesser evil than spiritual death. The soul need not die when the body does. No, it is the soul which sins that shall die.

The knight of Christ, I say, may strike with confidence and die yet more confidently, for he serves Christ when he strikes, and serves himself when he falls. Neither does he bear the sword in vain, for he is God's minister, for the punishment of evildoers and for the praise of the good. If he kills an evildoer, he is not a mankiller, but, if I may so put it, a killer of evil. He is evidently the avenger of Christ towards evildoers and he is rightly considered a defender of Christians. Should he be killed himself, we know that he has not perished, but has come safely into port.

Once he finds himself in the thick of battle, this knight sets aside his previous gentleness, as if to say, "Do I not hate those who hate you, O Lord; am I not disgusted with your enemies?" These men at once fall violently upon the foe, regarding them as so many sheep. No matter how outnumbered they are, they never regard these as fierce barbarians or as awe-inspiring hordes. Nor do they presume on their own strength, but trust in the Lord of armies to grant them the victory.

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Saint Athanasius

"May God console you! ... What saddens you ... is the fact that others have occupied the churches by violence, while during this time you are on the outside. It is a fact that they have the premises – but you have the Apostolic Faith. They can occupy our churches, but they are outside the true Faith. You remain outside the places of worship, but the Faith dwells within you. Let us consider: what is more important, the place or the Faith?The true Faith, obviously. Who has lost and who has won in the struggle – the one who keeps the premises or the one who keeps the Faith? True, the premises are good when the Apostolic Faith is preached there; they are holy if everything takes place there in a holy way ..."You are the ones who are happy; you who remain within the Church by your Faith, who hold firmly to the foundations of the Faith which has come down to you from Apostolic Tradition. And if an execrable jealousy has tried to shake it on a number of occasions, it has not succeeded. They are the ones who have broken away from it in the present crisis. No one, ever, will prevail against your Faith, beloved Brothers. And we believe that God will give us our churches back some day. "Thus, the more violently they try to occupy the places of worship, the more they separate themselves from the Church. They claim that they represent the Church; but in reality, they are the ones who are expelling themselves from it and going astray. Even if Catholics faithful to Tradition are reduced to a handful, they are the ones who are the true Church of Jesus Christ."